本文選題：地佐辛　切入點(diǎn)：瑞芬太尼　出處：《重慶醫(yī)學(xué)》2016年05期 　論文類型：期刊論文

【摘要】：目的探討地佐辛超前應(yīng)用對瑞芬太尼復(fù)合全身麻醉(簡稱全麻)患者蘇醒期躁動的臨床療效。方法選擇在該院婦科行擇期手術(shù)的子宮肌瘤患者92例,將其分為地佐辛組和對照組各46例,地佐辛組患者在手術(shù)全麻誘導(dǎo)前即靜脈給予地佐辛,比較兩組患者拔管后30min的平均動脈壓(MAP)、心率(HR)、血氧飽和度(SpO2)、視覺疼痛評分(VAS)情況,并記錄兩組患者蘇醒后60min內(nèi)躁動發(fā)生頻率和程度,對患者術(shù)后發(fā)生惡心嘔吐、呼吸抑制等情況等進(jìn)行對比分析。結(jié)果地佐辛組患者蘇醒后躁動發(fā)生率為8.70%,低于對照組的43.48%(P0.05);地佐辛組術(shù)后不良反應(yīng)發(fā)生率為6.52%,低于對照組的13.04%(P0.05)。結(jié)論超前應(yīng)用地佐辛可有效減少瑞芬太尼復(fù)合全麻蘇醒期躁動的發(fā)生率。
[Abstract]:Objective to investigate the clinical effect of preemptive application of dizosin in patients with restlessness during recovery from remifentanil combined with general anesthesia. Methods 92 patients with uterine leiomyoma undergoing elective gynecological surgery in our hospital were selected. The patients in the dizoxin group were given dizosin intravenously before general anesthesia induction. The mean arterial pressure (MAPP), heart rate (HR), oxygen saturation (SPO _ 2) and visual pain score (VASs) were compared between the two groups 30 minutes after extubation. The frequency and degree of restlessness and nausea and vomiting were recorded within 60 minutes after recovery. Results the incidence of restlessness in the dizoxin group was 8.70, which was lower than that in the control group (43.48) (P0.05), and the incidence of adverse reaction in the dizoxin group was 6.52, lower than that in the control group (13.04) (P 0.05). The incidence of restlessness during remifentanil combined with general anesthesia can be reduced effectively.
【作者單位】： 哈勵遜國際和平醫(yī)院疼痛科;哈勵遜國際和平醫(yī)院麻醉科;
【基金】：衡水市科學(xué)技術(shù)局計(jì)劃項(xiàng)目(13018z)
【分類號】：R614.2

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